The autopsy result is in, and it confirms Ashley A.J. Jewel, former fiance of Real Housewives of Atlanta’s Kandi Burruss, died from a rare trait of sickle cell anemia that became fatal because of a fight he had back in October.

AJ’s death is still however being ruled as a homicide based on a report from the Fulton County medical examiner given to AJC. “Although Mr. Jewell died of complications of his underlying natural disease conditions, [the] complications would not have occurred if he had not experienced the extreme exertion that was part of the physical altercation,” the report said. “Due to the active involvement of another person, the manner of death is classified as a homicide.”

Initially, it was believed Jewell, 35, died of blunt force trauma to the head. The Fulton County Medical Examiner’s Office later said AJ most likely died from sickle cell, a condition he did not know he had.

Frederick Richardson has been charged with voluntary manslaughter in the death of AJ. He is currently free on bond.